KELLY MICHELLE MEEHAN (M.D.) – Surgery Physician, NPI 1841474020

KELLY MICHELLE MEEHAN (M.D.) is a healthcare provider. based in Norfolk, Virginia. specializing in GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. 0101253473 (VA). The NPI Number for KELLY MICHELLE MEEHAN (M.D.) is 1841474020

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
KELLY MICHELLE MEEHAN (M.D.)
NPI
1841474020
Phone
(757) 764-6950
Address
1326 W OCEAN VIEW AVE
Enumeration Date
23 December 2007
Last Update Date
1 June 2021

Doctor Profile

Medical School Name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4107375000
Graduation Year
2007 (19 years ago)
PAC ID
7911145933
Group Practice PAC ID
3779495858
Professional Enrollment ID
I20220404000091
Address ID
MD212273553HA1701XRDXX400

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness85
Years active:18State licenses:4Other namesUpdated within 12 months

935 GENERAL SURGERY in VA

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Provider Addresses for KELLY MICHELLE MEEHAN (M.D.)

  • 1326, West Ocean View Avenue, Willoughby Beach, Norfolk, Virginia, 23503, United States

    APT. D

    NORFOLK, VA 235031146

    Phone: (757) 764-6950

    Type: Mailing

  • Langley Hospital, 77, Nealy Avenue, Hampton City, Virginia, 23665, United States

    LANGLEY AFB

    HAMPTON, VA 236652040

    Phone: (404) 727-5800

    Type: Location

  • 309 RUCKER PL

    ALEXANDRIA, VA 223012521

    Phone: (703) 922-1000

    Type: Mailing

  • 6501 LOISDALE CT

    SPRINGFIELD, VA 221501826

    Phone: (703) 922-1000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-04-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20161018002272IGeneral SurgeryVATBD
I20170824001417IGeneral SurgeryDCTBD
I20220404000091IGeneral SurgeryMDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3779495858View full group profile

Reviews

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Frequently asked questions

What is the standard ID for KELLY MICHELLE MEEHAN (M.D.) in the U.S.?
In the U.S., KELLY MICHELLE MEEHAN (M.D.) is identified by NPI 1841474020.
Should I treat KELLY MICHELLE MEEHAN (M.D.) as an active provider?
Patients and plans typically see KELLY MICHELLE MEEHAN (M.D.) as active in the national extract.
What type of care does KELLY MICHELLE MEEHAN (M.D.) provide?
KELLY MICHELLE MEEHAN (M.D.)'s profile centers on Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to KELLY MICHELLE MEEHAN (M.D.)?
The directory associates KELLY MICHELLE MEEHAN (M.D.) with Norfolk, Virginia. Check all listed addresses for suites or satellite offices.
Can I export KELLY MICHELLE MEEHAN (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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